Audiology Information Series: Nothing Smaller Than Your Elbow, Please

Total Page:16

File Type:pdf, Size:1020Kb

Audiology Information Series: Nothing Smaller Than Your Elbow, Please Nothing Smaller Than AUDIOLOGY Your Elbow, Please Information Series Pamela Mason, MEd, CCC-A, Director of Audiology Professional Practices at the ASHA National Office Earwax: We all have it. We want it gone. You can hurt your hearing and ear by trying to Most audiologists are asked about earwax. What is it? Why is it get rid of your earwax at home. sticky? Why do I make so much? How can I get rid of it? Most people do not know how to safely take out their earwax. You may use tooth picks, hair pins, or Q-tips to try and clean Earwax is good for your ears. your ears. This may not be safe. You can puncture the eardrum or push the wax even further into the ear. Earwax then Earwax keeps your ears clean. becomes impacted up close to the eardrum. The wax will get Earwax, or cerumen, traps dust and dirt, like dried shampoo dry like a hard ball. This can cause a temporary hearing loss or and shaving cream and sometimes even a bug. This is held dizziness. together by oil and wax comes from glands living in your ear canal. The wax also protects and can stop bad bacteria from An audiologist can help you take out your growing in the ear. And you thought it was just a pain! earwax. An audiologist is the professional who focuses on preventing Earwax isn’t always sticky. and evaluating hearing and balance disorders as well as Earwax can look different for different people. It can be wet providing audiologic treatment, including hearing aids. (honey-colored and sticky) or dry (grayish and flaky). Wet or Audiologists will advise you on how to prepare for a dry, your earwax depends on where your family came from. professional ear cleaning. They often provide earwax removal. Families from Europe or Africa have wet wax. Dry and flaky They can even schedule a few appointments if you want to keep wax is found in families from northeastern Asia. your ears clean. Contact an audiologist if you are dizzy or have any problems hearing... You can have too much earwax. You may have heard,…put nothing smaller than your elbow in Some medications, stress, and exercise will cause your body to your ear and let Mother Nature do her work. make too much earwax. Also, your body will make more wax as you get older. For many people, earwax comes out by itself. Sometimes twists, turns, or small ear canals can trap wax. It cannot easily come out. Wax can become trapped in your ear if, for example, you wear in-ear phones that block the way out For more information about hearing loss, hearing aids, making it hard to hear and possibly uncomfortable. or referral to an ASHA-certified audiologist, contact: NOTES: 2200 Research Boulevard Rockville, MD 20850 800-638-8255 E-mail: [email protected] Website: www.asha.org Compliments of American Speech-Language-Hearing Association 2200 Research Boulevard, Rockville, MD 20850 • 800-638-8255 For more information and to view the entire Audiology Information Series library, scan with your mobile device. Audiology Information Series © ASHA 2015 10802.
Recommended publications
  • Assessment of Antimicrobial Activity of Cerumen (Earwax) and Antibiotics
    Microbiology Research 2020; volume 11:8565 Assessment of antimicrobial nation of fatty acid). Another gland i.e. apoc- activity of cerumen (earwax) rine sweat glands release secretion that com- Correspondence: Iffat Naz, Department of bines with the sebum to form cerumen. It Biology, Scientific Unit, Deanship of and antibiotics against picks up discarded cells, ear follicles and Educational Services, Qassim University, pathogenic bacteria isolated may contain dust or other debris, but the Buraidah, 51452, Qassim, Kingdom of Saudi from ear pus samples resulting compound forms earwax or ceru- Arabia (KSA). men.6 Tel.: +966 533897891 E-mail: [email protected] ; There are two different types of geneti- [email protected] Iffat Naz cally determined earwax such as wet type Department of Biology, Scientific Unit, and dry type. The dry type is most common Key words: Ear pus samples; Pathogenic bac- Deanship of Educational Services, in Asians and Native Americans and has a teria; Antibiotics; Cerumen; Antibacterial Qassim University, Buraidah, Qassim, grey brownish colour while the wet type can potency. Kingdom of Saudi Arabia be found in Caucasians and Africians and has a brown or dark colour.7 About 30-50% of Acknowledgements: The author would like to South Asians, Central Asians and Pacific thanks Mr. Jamil & Miss. Javeria (M. Phil islanders have the dry type of cerumen. Scholars), for assisting in collection of ear pus Abstract Cerumen type has been used by anthropolo- samples from different hospitals of Peshawar, gist to track human migratory patterns, such KP, Pakistan. She is also grateful to Dr. Abdul The present study is focused on the Rehman for providing laboratory facilities, at as those of Eskimas.8 Further, the study of assessment of the antimicrobial activity of Department of Microbiology, Abasyn cerumen and antibiotics against bacteria earwax has shown controversy, as some University Peshawar, KP, Pakistan.
    [Show full text]
  • What Causes Swimmer's Ear?
    Swimmer’s Ear Affecting the outer ear, swimmer’s ear is a painful condition resulting from inflammation, irritation, or infection. These symptoms often occur after water gets trapped in your ear, with subsequent spread of bacteria or fungal organisms. Because this condition commonly affects swimmers, it is known as swimmer’s ear. Swimmer’s ear (also called acute otitis externa) often affects children and teenagers, but can also affect those with eczema (a condition that causes the skin to itch), or excess earwax. Your doctor will prescribe treatment to reduce your pain and to treat the infection. What causes swimmer’s ear? A common source of the infection is increased moisture trapped in the ear canal, from baths, showers, swimming, or moist environments. When water is trapped in the ear canal, bacteria that normally inhabit the skin and ear canal multiply, causing infection of the ear canal. Swimmer’s ear needs to be treated to reduce pain and eliminate any effect it may have on your hearing, as well as to prevent the spread of infection. Other factors that may contribute to swimmer’s ear include: ● Contact with excessive bacteria that may be present in hot tubs or polluted water ● Excessive cleaning of the ear canal with cotton swabs ● Contact with certain chemicals such as hair spray or hair dye (Avoid this by placing cotton balls in your ears when using these products.) ● Damage to the skin of the ear canal following water irrigation to remove wax ● A cut in the skin of the ear canal ● Other skin conditions affecting the ear canal, such as eczema or seborrhea What are the signs and symptoms? The most common symptoms of swimmer’s ear are itching inside the ear and pain that gets worse when you tug on the auricle (outer ear).
    [Show full text]
  • Supplementary Methods Earwax Sample Extraction a Clinical Research Assistant Was Specifically Trained in the Use of the Reiner-A
    Supplementary Methods Earwax Sample Extraction A clinical research assistant was specifically trained in the use of the Reiner-Alexander syringe by one ear-nose-throat specialist doctor. Before cleaning both ears, the external auditory canal was examined using an otoscope to rule out the presence of any external ear pathology, such as impacted earwax or perforated eardrum. Briefly, the Reiner-Alexander syringe slowly injects water at 37°C inside the external ear canal. The process of syringing creates a sensation of mild pressure in the ear as the warm water from the syringe flushes the wax out. The expelled water and the extracted earwax secretion were collected in a kidney basin. During the follow-up visit, participants self-clean their right ears using the earwax self-sampling device, according to the manufacturer instructions (www.trears.com). The four labelled earwax samples were stored at 4 °C until they were analysed. Earwax Analysis using the Reiner-Alexander Syringe The extracted solution of water plus earwax secretion was stored in a 50 ml cryovial. Earwax samples were then resuspended with 500 µl Phosphate-Buffered Saline (PBS) to homogenise the sample. Then, 500 µl of diethyl ether was added to each sample and wobbled for one minute using a vortex. The resulting solution was stored at -20°C for 2 hours. Glucose levels were then analysed from the hydrophilic fraction. The earwax solution was dried using the displacement method of N2 at 25 degree Celsius. Following this, 125 µl of PPBS was added to resuspend each solution. The resulting solution containing earwax samples was stored at 4 degrees Celsius until analysed.
    [Show full text]
  • A Functional ABCC11 Allele Is Essential in the Biochemical
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector See related commentary on pg 344 ORIGINAL ARTICLE A Functional ABCC11 Allele Is Essential in the Biochemical Formation of Human Axillary Odor Annette Martin1,3, Matthias Saathoff1,3, Fabian Kuhn2, Heiner Max1, Lara Terstegen1 and Andreas Natsch2 The characteristic human axillary odor is formed by bacterial action on odor precursors that originate from apocrine sweat glands. Caucasians and Africans possess a strong axillary odor ,whereas many Asians have only a faint acidic odor. In this study, we provide evidence that the gene ABCC11 (MRP8), which encodes an apical efflux pump, is crucial for the formation of the characteristic axillary odor and that a single-nucleotide polymorphism (SNP) 538G-A, which is prominent among Asian people, leads to a nearly complete loss of the typical odor components in axillary sweat. The secretion of amino-acid conjugates of human-specific odorants is abolished in homozygotic carriers of the SNP, and steroidal odorants and their putative precursors are significantly reduced. Moreover, we show that ABCC11 is expressed and localized in apocrine sweat glands. These data point to a key function of ABCC11 in the secretion of odorants and their precursors from apocrine sweat glands. SNP 538G-A, which also determines human earwax type, is present on an extended haplotype, which has reached 495% frequency in certain populations in recent human evolution. A strong positive selection in mate choice for low-odorant partners with a dysfunctional ABCC11 gene seems a plausible explanation for this striking frequency of a loss-of-function allele.
    [Show full text]
  • Earwax Problems N
    n Earwax Problems n Can earwax problems Earwax, also called cerumen, is a normal sub- stance that helps protect the ear canal. If too be prevented? much earwax builds up, it can block the ear canal, If your child has a lot of earwax build-up, using special causing ear discomfort, reduced hearing, and eardrops on a regular basis may help to prevent prob- other symptoms. Excessive earwax can usually lems. be removed by using special drops. If necessary, it can be done by a doctor. Don’t try to remove Follow the doctor’s instructions on removing earwax. wax from your child’s ear by inserting anything in Especially in babies, never insert cotton swabs or any- the ear, including cotton swabs. thing else in the ear to attempt to remove earwax. How are earwax problems treated? What kinds of problems are caused by earwax? Earwax removal kits are available at drugstores. Tilt your child’s head sideways and then place drops in the ear. Let The build-up of too much earwax can block the your the drops remain in the ear for several minutes; they will child’s ear canal. This is sometimes called “impaction.” help dissolve the wax. This procedure can be repeated for Removing the excessive earwax promptly relieves symp- a few days, if needed. If excessive earwax is still present, toms such as feeling “clogged-up,” reduced hearing, and call our office. discomfort or pain. Earwax can be removed by using ear- ’ drops available at the drugstore or, if necessary, in the In the doctor s office, earwax may be removed using spe- doctor’s office.
    [Show full text]
  • Earwax, Clinical Practice Il Tappo Di Cerume: Pratica Clinica F
    Volume 29 – Supplement 1 – Number 4 – August 2009 Otorhinolaryngologica Italica Official Journal of the Italian Society of Otorhinolaryngology - Head and Neck Surgery Organo Ufficiale della Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale Editorial Board Italian Scientific Board © Copyright 2009 by Editor-in-Chief: F. Chiesa L. Bellussi, G. Danesi, C. Grandi, Società Italiana di Otorinolaringologia e President of S.I.O.: A. Rinaldi Ceroni A. Martini, L. Pignataro, F. Raso, Chirurgia Cervico-Facciale Former Presidents of S.I.O.: R. Speciale, I. Tasca Via Luigi Pigorini, 6/3 G. Borasi, E. Pirodda (†), 00162 Roma, Italy I. De Vincentiis, D. Felisati, L. Coppo, International Scientific Board G. Zaoli, P. Miani, G. Motta, J. Betka, P. Clement, A. De La Cruz, Publisher L. Marcucci, A. Ottaviani, G. Perfumo, M. Halmagyi, L.P. Kowalski, Pacini Editore SpA P. Puxeddu, I. Serafini, M. Maurizi, M. Pais Clemente, J. Shah, Via Gherardesca,1 G. Sperati, D. Passali, E. de Campora, H. Stammberger 56121 Ospedaletto (Pisa), Italy A. Sartoris, P. Laudadio, E. Mora, Tel. +39 050 313011 M. De Benedetto, S. Conticello, D. Casolino Treasurer Fax +39 050 313000 Former Editors-in-Chief: C. Miani [email protected] C. Calearo (†), E. de Campora, www.pacinimedicina.it A. Staffieri, M. Piemonte Editorial Office Editor-in-Chief: F. Chiesa Cited in Index Medicus/MEDLINE, Editorial Staff Divisione di Chirurgia Cervico-Facciale Science Citation Index Expanded, Scopus Editor-in-Chief: F. Chiesa Istituto Europeo di Oncologia Deputy Editor: C. Vicini Via Ripamonti, 435 Associate Editors: 20141 Milano, Italy C. Viti, F. Scasso Tel. +39 02 57489490 Editorial Coordinators: Fax +39 02 57489491 M.G.
    [Show full text]
  • Types of Hearing Loss
    Hearing Basics |Alberta Hands & Voices Parent Toolkit Types of Hearing Loss Problems in the outer ear and ear canal can Some types of conductive prevent sound from travelling normally to the hearing loss can be inner ear. This is conductive hearing loss. medically treated. There are many causes of conductive hearing loss. The outer ear may form in an atypical way at birth, closing off the ear to hearing, or the ear canal may be blocked by earwax. Middle ear infections can also cause conductive hearing loss. The space behind the eardrum (the middle ear) is normally air-filled but sometimes with ear infections, fluid can collect there. This build-up of fluid prevents the eardrum from vibrating normally. A conductive hearing loss can also be caused by a hole in the eardrum. Another cause of conductive hearing loss includes damage to the three tiny bones inside the middle ear. Eardrum movement can be tested or measured by sending a puff of air into the ear canal to Most types of vibrate the eardrum (tympanometry). Having a sensorineural hearing loss conductive hearing loss is like wearing are permanent and cannot earplugs: you won’t hear soft sounds. Some be corrected by surgery or types of conductive hearing loss can be medication. medically corrected. In the inner ear, missing or deformed hair cells prevent sound from being sent normally to the brain. A sensorineural hearing loss happens when there are problems with the hair cells. The auditory or hearing nerve starts in the cochlea and travels to the auditory centres of the brain.
    [Show full text]
  • Earwax and What to Do About It (Pdf)
    Vinod K. Anand, MD FACS Nose and Sinus Clinic EARWAX AND WHAT TO DO ABOUT IT The Outer Ear And Canal The outer ear is the funnel-like part of the ear you can see on the side of the head, plus the ear canal (the hole which leads down to the eardrum). The ear canal is shaped somewhat like an hourglass--narrowing part way down. The skin of the outer part of the canal has special glands that produce earwax. This wax is supposed to trap dust and sand particles to keep them from reaching the eardrum. Usually the wax accumulates a bit, and then dries up and comes tumbling out of the ear, carrying sand and dust with it. Or it may slowly migrate to the outside where it is wiped off. Should You Clean Your Ears? Wax is not formed in the deep part of the ear canal near the eardrum, but only in the outer part of the canal. So when a patient has wax blocked up against the eardrum, it is often because he has been probing his ear with such things as cotton-tipped applicators, bobby pins or twisted napkin corners. Such objects only serve as ramrods to push the wax in deeper. Also, the skin of the ear canal and the eardrum is very thin and fragile and is easily injured. Earwax is healthy in normal amounts and serves to coat the skin of the ear canal where it acts as a temporary water repellent. The absence of earwax may result in dry, itchy ears.
    [Show full text]
  • Swimmer's Ear (Otitis Externa)
    POWERED BY AMERICAN ACADEMY OF OTOLARYNGOLOGY–HEAD AND NECK SURGERY SWIMMER’S EAR (OTITIS EXTERNA) Swimmer’s ear (also called acute otitis externa) is a externa) are also possible. Without treatment, infections painful condition that affects the outer ear and ear canal can continue to occur or persist. that is caused by infection, inflammation, or irritation. These symptoms often occur after water gets trapped Bone and cartilage damage (malignant otitis externa) in your ear, especially if the water has bacteria or fungal are also possible due to untreated swimmer’s ear. If left organisms in it. Because this condition commonly affects untreated, ear infections can spread to the base of your swimmers, it is known as swimmer’s ear. skull, brain, or cranial nerves. Diabetics, older adults, and those with conditions that weaken the immune system Swimmer’s ear often affects children and teenagers, are at higher risk for such dangerous complications. but can also affect those with eczema (a condition that causes the skin to itch), those with highly sensitive To evaluate you for swimmer’s ear, your doctor will look or allergic skin reactions, excess earwax, and who for redness and swelling in your ear canal, and ask if wear hearing aids or earbuds. Your primary care you are experiencing any pain. Your doctor may also provider or ENT (ear, nose, and throat) specialist, or take a sample of any abnormal fluid or discharge in your otolaryngologist, will prescribe treatment to reduce your ear (ear culture) to test for the presence of bacteria or pain and to treat the infection.
    [Show full text]
  • The Safety and Effectiveness of Different Methods of Earwax Removal: a Systematic Review and Economic Evaluation
    Health Technology Assessment 2010; Vol. 14: No.281 Health Technology Assessment 2010; Vol. 14: No. 28 Abstract Chapter 8 List ofConclusions abbreviations ExecutiveAcknowledgements summary BackgroundContributions of authors Objectives ReferencesMethods Data sources AppendixData extraction 1 and quality assessment DataProtocol synthesis methods The safety and effectiveness of Economic model AppendixResults 2 different methods of earwax removal: ConclusionsLiterature searches and flow chart of included studies a systematic review and economic ChapterAppendix 1 3 AimData and extraction background forms: primary care setting evaluation Aim AppendixDescription 4 of the health problem CurrentData service extraction provision forms: and secondary description care of interventions setting AJ Clegg, E Loveman, E Gospodarevskaya, ChapterAppendix 2 5 P Harris, A Bird, J Bryant, DA Scott, MethodsData extraction forms: self-care and other care settings Methods for reviewing effectiveness P Davidson, P Little and R Coppin Appendix 6 ChapterExcluded 3 studies Assessment of clinical effectiveness AppendixQuantity and 7 quality of research available StudiesVariables in primary included care insettings the Studiesprobabilistic in secondary sensitivity care settings analyses Studies of self-care HealthStudies Technologyin other care Assessment settings reports published to date Summary of results of the systematic review of clinical effectiveness HealthResearch Technology in progress Assessment programme Chapter 4 Adverse events Searching Adverse events
    [Show full text]
  • Common Ear Conditions Underdiagnosed at Primary Level
    Community Ear Hearing Volume 13 & Health Issue 17 • 2016 Otoscopic examination: bilateral impacted wax was diagnosed and removed, much to the patient's satisfaction. MADAGASCAR ANDREW SMITH Common ear conditions underdiagnosed at primary level Isaac M Macharia bout half of all causes of hearing impairment presence of normal amounts of earwax (cerumen) Professor of ENT, are preventable or can be managed at the in the external auditory canal is healthy, but earwax University of Nairobi; Aprimary healthcare level by appropriately becomes an important ear condition when it Consultant ENT Surgeon, trained workers. Many of these conditions, however, completely occludes the ear canal with consequent Kenyatta National Referral remain undiagnosed despite their high prevalence, effects on hearing. Depending on its occlusal and Teaching Hospital, due to a lack of diagnostic skills, tools and knowledge effect, impacted wax can be an important cause Nairobi, Kenya of their presenting symptoms amongst health workers. of conductive hearing loss and, as a consequence, Among the common ear conditions that are affect language and speech development in children. underdiagnosed are wax impaction, otitis media with Even for children who have already acquired effusion (OME) and foreign bodies in the ear canal. language and speech, the hearing loss caused by This situation can be reversed through training and impacted wax in both ears can have a significant provision of the necessary diagnostic tools. All three effect on academic performance. Among the elderly, conditions, particularly OME and wax impaction, reduced hearing as a result of wax impaction is can be associated with symptoms that may not likely to increase their feeling of isolation and can be significant enough to motivate patients to seek negatively affect their social interactions.
    [Show full text]
  • On the Nose: Genetic and Evolutionary Aspects of Smell Mark a Jobling
    Jobling Investigative Genetics (2015) 6:2 DOI 10.1186/s13323-015-0021-3 COMMENT Open Access On the nose: genetic and evolutionary aspects of smell Mark A Jobling Among my Christmas presents this year was some per- array of glands is considered an organ. So, with our in- fume – Acqua di Parma, in a beautiful cylindrical herently smelly sebaceous secretions, and our apocrine buttercup-yellow box. It was from my son, who since his sweat, made odorous by skin bacteria, we are without transition to adulthood has developed an interest in such doubt the ‘scented ape’ [2]. things, and in return we gave him (as requested) Terre Scented humans may be, but some are more scented d’Hermès. To my ill-educated nose, both smell pretty than others. A few unfortunate people are homozygous good - but there’s a more expert source to turn to for an for mutations in the gene encoding an enzyme, flavin- opinion. This is Perfumes: the A-Z Guide, by Luca Turin containing monooxygenase 3 [3], whose job is to metabol- and Tania Sanchez [1]. Behind its unpromising title lies ise amino-trimethylamine, produced by bacterial action in an entertaining, witty and informative book. The authors the gut. In the absence of the enzyme, the chemical is se- write with withering style about the scents they most creted in the sweat, urine and breath – its smell, reminis- dislike. So it’s with trepidation you look up the perfume cent of decaying fish, makes the lives of sufferers very you’ve acquired – luckily those mentioned above both difficult indeed.
    [Show full text]